Progesterone and Second Trimester Bleeding

NCT ID: NCT01269450

Last Updated: 2018-06-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2017-07-31

Brief Summary

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Working hypothesis and aims:

To investigate whether progesterone treatment affects the incidence of preterm labor compared to placebo, among women with 2nd trimester bleeding.

The participants will be allocated through randomization to a study or control group. Women in the study group will receive micronized progesterone 200 mg (Utrogestan, company) with an intra-vaginal tablet once daily while the control group will receive placebo. Both women and medical staff will be blinded to group allocation. Treatment will commence on the day of inclusion to the study, but not before 16 weeks and will continue until 36 weeks gestation. Data will be collected after the conclusion of pregnancy regarding the maternal and neonatal outcome.

Detailed Description

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Conditions

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Antepartum Bleeding Preterm Birth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Utrogestan

Group Type ACTIVE_COMPARATOR

micronized progesterone 200 mg (Utrogestan)

Intervention Type DRUG

micronized progesterone 200 mg (Utrogestan, company) as an intra-vaginal tablet once daily

placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo 200mg vaginal tablets

Interventions

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micronized progesterone 200 mg (Utrogestan)

micronized progesterone 200 mg (Utrogestan, company) as an intra-vaginal tablet once daily

Intervention Type DRUG

placebo

placebo 200mg vaginal tablets

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Viable pregnancy
* Gestational age between 13 to 26 weeks
* Vaginal bleeding from uterine origin
* Singleton pregnancy
* Normal clotting tests
* Hemodynamically stable woman

Exclusion Criteria

* Water leak
* Signs of preterm labor
* Fetal malformations incompatible with life
* Uterine malformations and other maternal conditions, i.e. liver disease, breast cancer, active thromboembolic state
* Past preterm birth
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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HaEmek Medical Center, Israel

OTHER

Sponsor Role lead

Responsible Party

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Raed Salim

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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RAED SALIM, MD

Role: PRINCIPAL_INVESTIGATOR

HaEmek medical center affiliated to the Rappaport faculty of medicine, Technion, Haifa, Israel

Locations

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Emek medical center

Afula, , Israel

Site Status

dEP ob/gyn, Hillel Yaffe Medical Center.

Hadera, , Israel

Site Status

Dep. OB/GYN, The Nazareth Hospital, E.M.M.S

Nazareth, , Israel

Site Status

Countries

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Israel

References

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Salim R, Hakim M, Zafran N, Nachum Z, Romano S, Garmi G. Double-blind randomized trial of progesterone to prevent preterm birth in second-trimester bleeding. Acta Obstet Gynecol Scand. 2019 Oct;98(10):1318-1325. doi: 10.1111/aogs.13641. Epub 2019 Jun 1.

Reference Type DERIVED
PMID: 31087325 (View on PubMed)

Other Identifiers

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0023-08-EMC

Identifier Type: -

Identifier Source: org_study_id

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